Provider First Line Business Practice Location Address:
1648 HUNTINGDON PIKE
Provider Second Line Business Practice Location Address:
DIABETES MANAGEMENT OFFICE
Provider Business Practice Location Address City Name:
MEADOWBROOK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-8001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-938-3731
Provider Business Practice Location Address Fax Number:
215-938-3760
Provider Enumeration Date:
05/18/2012